• Nicolas Jérémie, Sandrine Seltzer, François Lenfant, Agnès Ricard-Hibon, Alain Facon, Bruno Cabrita, Irene Messant, Philippe d'Athis, and Marc Freysz.
• Département d'Anesthésie Réanimation, SAMU 21, Hôpital Général, Dijon Cedex, France.
• Eur J Emerg Med. 2006 Jun 1;13(3):148-55.

ObjectivesThis prospective study was conducted in three mobile emergency and intensive care units.MethodsThe patients were over 15 years of age and were not in cardiac arrest. The study was to compare practices in the three units with the guidelines drawn up by the Commission of Experts so as to define the main parameters for quality assurance. All of the patients involved were considered to have full stomachs and required rapid sequence induction.ResultsThis procedure comply the guidelines only in 45% of cases; in the other cases succinylcholine should have been administered (mobile emergency and intensive care unit A) and the Sellick manoeuvre should have been used (mobile emergency and intensive care unit A and B). Notwithstanding, these two centres treated more traumatized patients than mobile emergency and intensive care unit C, and use of the Sellick manoeuvre in such circumstances is questionable.ConclusionsMore training and greater diffusion of the protocols are required, especially with regard to doctors who intervene intermittently.

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